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Allergic Diseases of the Eye
Published in Pudupakkam K Vedanthan, Harold S Nelson, Shripad N Agashe, PA Mahesh, Rohit Katial, Textbook of Allergy for the Clinician, 2021
Giant Papillary Conjunctivitis This reaction may be an allergy involving proteins that adhere to surfaces of contact lenses, sutures, ocular prosthesesSymptoms and signs include: Foreign body sensationOcular itchingSmall strand of mucus and/or stringy dischargeSlight blurring of visionMild pruritusMild hyperemiaMacro- and giant papillae on upper tarsal conjunctivaAbnormal thickening of conjunctivaOpacification of conjunctiva
Eye Socket Regeneration and Reconstruction
Published in Current Eye Research, 2020
M. Borrelli, G. Geerling, K. Spaniol, J. Witt
Ocular prosthetics make a decisive contribution to the functional, aesthetic and psychosomatic rehabilitation of patients after socket reconstruction. Ocular prosthetics made of cryolite glass or Perspex can be fitted already 5–8 weeks after Evisceration or enucleation, in the meanwhile, a conformer is placed within the conjunctival sac to prevent shrinkage of the socket. Once ocular prostheses are fitted, they can be worn continuously only interrupted by cleaning procedures. Glass prostheses need to be replaced with 1–2 years interval, while Perspex prostheses need to be polished once a year. Patients wearing ocular prostheses might experience giant papillary conjunctivitis or blepharoconjunctivitis especially in case of poor fit or inappropriate care of the prosthetic device.113,114
Presentation, diagnosis, and the role of subcutaneous and sublingual immunotherapy in the management of ocular allergy
Published in Clinical and Experimental Optometry, 2021
Amruta Trivedi, Constance Katelaris
Giant papillary conjunctivitis or contact lens papillary conjunctivitis is an inflammatory eye disease that is typically caused by mechanical trauma from irritative stimuli, such as contact lenses or ocular prosthesis. An allergic component may be involved when protein deposits on the contact lenses or prostheses, which can either create a type I or type IV hypersensitivity response, either serving as allergens or haptens, respectively.33